HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SCANNED Permit Number: Mq _Q9A
BY
RECEIVED
Lucie County
Building Permit Application SEP 13 201B
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578
Commercial X Residential
Permitting Department
St. Lucie County
PERMIT APPLICATION FOR: window/door
PROPOSED IMPROVEMENT LOCATION:
Address: 9550 Jensen Beach, FL, Unit 302, 34957 11
Legal Description: Replace existing sliding glass door and fixed glass openings with hurricane impact sliding glass door. —
Property Tax ID#: 4502-601-0016-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: III
0100"Ilcix_
W(-Yh imp(LC_�51IA4,15 9105 d-OM.
I CONSTRUCTION INFORMATION: III
enerrormea unaer tnis permit — cneCK all apply:
ElGas Tank E]Gas Piping Mutters []Windows/Doors
ElPlumbing OSprinklers Generator FIRoof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ '7,c)
S Ft. of First Floor:
Utilities,."n Sewer D Septic
Building Height:
OWNERAESSEE:
CONTRACTOR:
Name Julie Hegedus
Name: Janet Milici
Address:.9550 S. Ocean Dr., Unit 302
Company: Natural Flow
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No. 229-7908 (231) 894-6207,
Address: 391 NE Baker Rd.
City: Stuart State: FL
Zip Code: 34994 Fax: 772-334-1078
Phone No. 772-334-1011
E-Mail: Juliessart@aol.com
Fill in fee simple Title Holder an next page ( if different
from the Owner listed above)
E-Mail: janet@naturalflow.net
State or County License: 131151263
If value of construction Is $2500 or more, a RECORDED Notice of Commencement is required.
5
DESIGN ER/ENGI NEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: _ Phone:
FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
—Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: _ Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in cc Act with any applicable Home Owners Association rules, bylaws or angcovenants that m estrict or prohibit such
a Yhr c
structure. Please consult with your Home Owners Association and review your deed for any restrictions w h may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If youintend 0 obtain financing, consult with lender or an attorney before
your ot�
commencing work or_recording N ice of Commencement.
=gnatur of owner/ Lessee/Contractor as Agent for Owner
Sign ure of Co tractor/License Holder
E OF FLORIDA
rAM—T, NJ
�=FLORIDA
COUNTY OF M ART I �J
COUNTY OF
The ng instrument Wais acknowledged before me
this V�—day of beA 20_Lg by
S
The forgoing linstr4n t as k Wledged before me
this 41- 20A 9 by
11! day of
k
, \ UA e—+ VVVI I i ci
Name of persop making statement
Name of person making statement
Personally Known )1� OR Produced Identification
Personally Known _2 OR Produced Identification
Type of Identification
Type of Identification
Produced
163�0"
Produced
(Signature of Notai�ubllcy a e ol a
Notakfolic-9tateof Florida)
No ry Public State of Flod
Commission No. 0107. � @3 Jayne Hall
Mmmission �GG2075
'Inatureof
C mission No. ADT5 20,- State of Florida
'Doo=y"ce Hall
Z V
Expires 04/1r92022
My Commission GG 207585
10 Expires D411512022
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Rev. 8/2/17